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South Dakota rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.16 / $5.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.58 / $22.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.37 / $4.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.58 / $3.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57